99% of makati tier ladyboys get their surgery in Thailand anyway.
They cost the same as regular girls, just watch one scam that happens.
If you have facebook, or a phone company that uses Philippines outsourcing, some ladyboys you fuck will find your social media details through friend or family in the telecommunications industries there.
There then pop up on your social media asking for money or they'll out you to your friends, parents and family.
It happened to me twice and i just laughed and told them to fuck off because everyone knows what a dirty cunt I am and I'll even post a screenshot of their threat on my timeline, which was met be silence both times.
However if you came from a conservative American family the results could be different. Just buffer yourself a little from them at first until you figure them out.